| NPI | 1154450039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 67298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6866259-1701) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24340) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-08-27 |